Individual provider Active NPI

Jim Doyle Phipps, DC

  • Chiropractor
  • Burney, CA
National Provider Identifier
1346355906
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
112370 Issued in CA
Practice address
37140 State Highway 299 E
A
Burney, CA 96013-4129
Phone
(530) 335-3502
Fax
(530) 335-3503
NPI assigned
Aug 21, 2006
Last updated
Jun 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 112370 CA Primary

Addresses

Primary practice location

37140 State Highway 299 E
A
Burney, CA 96013-4129

Mailing address

37140 State Highway 299 E
A
Burney, CA 96013-4129
Phone (530) 335-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112370CAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1346355906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37140 STATE HIGHWAY 299 E",
            "address_2": "A",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134129",
            "telephone_number": "530-335-3502",
            "fax_number": "530-335-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37140 STATE HIGHWAY 299 E",
            "address_2": "A",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134129",
            "telephone_number": "530-335-3502",
            "fax_number": "530-335-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "JIM",
        "middle_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "112370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burney, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.